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Uncategorized Published - 18 January, 2017    By - Dr Clemens
Interactive App Helps Reduce Preoperative Anxiety in Peds

A simple, yet effective interactive app—dubbed “Story-Telling Medicine”—appears to effectively reduce preoperative anxiety in children. “Preoperative anxiety … is associated with many adverse postoperative outcomes,” said Cheryl Chow, MS, a doctoral candidate at McMaster University, in Hamilton, Ontario. “What’s more, children who are anxious have problems with anesthetic induction, postoperative emergence delirium, increased pain and […]

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Uncategorized Published - 18 January, 2017    By - Dr Clemens
Use of Pulse Oximetry Recommended to Monitor For Hypoxia During Transport From the OR to the PACU

With the physical footprint of American hospitals growing ever larger, the risk for patients developing hypoxia during transport from the operating room (OR) to the PACU is real. Recently, researchers found that nearly 7% of patients will develop hypoxia en route, prompting them to recommend the availability of portable pulse oximetry and supplemental oxygen in […]

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Uncategorized Published - 17 January, 2017    By - Dr Clemens
Randomized Evaluation of Fibrinogen vs Placebo in Complex Cardiovascular Surgery (REPLACE)

A Double-blind Phase III Study of Haemostatic Therapy Authors: N. Rahe-Meyer et al Br J Anaesth. 2016;117(1):41-51. Background: Single-dose human fibrinogen concentrate (FCH) might have haemostatic benefits in complex cardiovascular surgery. Methods: Patients undergoing elective aortic surgery requiring cardiopulmonary bypass were randomly assigned to receive FCH or placebo. Study medication was administered to patients with a 5 min […]

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Uncategorized Published - 17 January, 2017    By - Dr Clemens
Delayed Pushing Increases Cesarean Risk

Women who waited an hour after full cervical dilation to begin pushing out their babies were nearly twice as likely to require a cesarean delivery as women who began pushing in the first 30 minutes, according to an analysis of 21,034 women in 25 hospitals across the United States, published online October 6 and in […]

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Uncategorized Published - 17 January, 2017    By - Dr Clemens
Imaging for Low Back Pain Unnecessary, but Hard to Avoid

Nearly all clinicians agree that imaging is unnecessary for patients with nonspecific low back pain, but that does not mean they find it easy to follow the recommendations against such imaging, suggests a study published October 17 in JAMA Internal Medicine. The Choosing Wisely campaign, which aims to reduce unnecessary procedures to improve patient care, includes seven recommendations […]

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